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FSA / HRA Claims Portal 
 
Username  is your last name and last four digits of your Social Security Number 
Password  is your last name along with your Birth Date
 
Example:  Name = John Smith    SS#  = 789-45-4321     Birth Date = 01/02/70
 
Username =  Smith4321  
Password  = Smith010270 
 
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Please Call (855) 306-1099

  
 

 
   
  
 

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 Please enter your Username 
   and Password to proceed

Passwords are Case Sensitive
   Your Last Name Could Be All Caps
If Data Was Received From Medical Carrier


Do You Still Have the Summit Card?
     Please Call (855) 306-1099
           for Portal Information


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